Provider Demographics
NPI:1043510894
Name:PLOTKIN, LISA FRANCIS (PA-C)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:FRANCIS
Last Name:PLOTKIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7630 WOOD HOLLOW DR APT 241
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2216
Mailing Address - Country:US
Mailing Address - Phone:954-643-2861
Mailing Address - Fax:512-287-5575
Practice Address - Street 1:2525 WALLINGWOOD DRIVE
Practice Address - Street 2:BUILDING 11 SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7874
Practice Address - Country:US
Practice Address - Phone:512-744-5489
Practice Address - Fax:512-287-5575
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2020-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA06940363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant